Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $91.26 / $340.00	Professional		$83.62	$91.26	$340.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.72 / $63.15 / $230.00	Professional	26	$56.72	$63.15	$230.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $28.10 / $72.16	Professional	TC	$26.89	$28.10	$72.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $85.71 / $153.01	Professional		$85.71	$85.71	$153.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $101.88	Facility	26	$85.71	$85.71	$101.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $130.06 / $218.67	Professional		$86.66	$130.06	$218.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.48 / $81.72 / $129.74	Professional	26	$59.48	$81.72	$129.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.08 / $47.31 / $88.92	Professional	TC	$24.08	$47.31	$88.92
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $85.71 / $101.88	Facility	26	$85.71	$85.71	$101.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $144.62 / $242.26	Professional		$92.44	$144.62	$242.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $77.14 / $120.37	Professional	26	$51.23	$77.14	$120.37
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $20.50 / $38.99 / $67.30	Professional	TC	$20.50	$38.99	$67.30
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $150.80 / $171.59	Professional		$122.20	$150.80	$171.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.67 / $97.95 / $110.51	Professional	26	$84.67	$97.95	$110.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.52 / $52.63 / $64.84	Professional	TC	$37.52	$52.63	$64.84